{"id":17015,"date":"2021-09-05T18:54:18","date_gmt":"2021-09-05T18:54:18","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=17015"},"modified":"2022-02-02T13:54:48","modified_gmt":"2022-02-02T13:54:48","slug":"duane-syndrome","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/pediatric-eye-exams-2\/duane-syndrome\/","title":{"rendered":"Duane Syndrome"},"content":{"rendered":"<h2><b>Approximately 1 in 10,000 people worldwide have Duane syndrome.<\/b><\/h2>\n<p>Duane syndrome (DS) is a rare, non-progressive eye movement disorder, which is usually detected by doctors at childbirth.<\/p>\n<h2><b>How does Duane Syndrome impact the eyes?<\/b><\/h2>\n<p><b>This condition affects the functioning of the nerves controlling the eye\u2019s muscles.\u00a0<\/b><\/p>\n<p>Due to the miswiring of the eye\u2019s nerves, this condition can cause some eye muscles to contract when they are not supposed to and other eye muscles not to contract when they should.<\/p>\n<p>The ability to shift the eye outward toward the ear (abduction) is limited or absent in people with DS. In most cases, they have limited ability to move the eye inward toward the nose (adduction).<\/p>\n<p>In some cases the eye moves toward the nose, retracting into the socket (retraction), causing the eye hole to narrow, and the eye may migrate upward or downward.<\/p>\n<p>Many DS patients develop a face turn to compensate for improper eye turning and maintain binocular vision.<\/p>\n<h2><b>What causes Duane syndrome?<\/b><\/h2>\n<p><b>Duane syndrome is caused by an absence of or a problem with the operation of the 6th cranial nerve.\u00a0<\/b><\/p>\n<p>This is a brain-controlled nerve that regulates one of the muscles that moves the eye laterally.<\/p>\n<p>The condition is assumed to begin in the third to sixth week of pregnancy when the cranial nerves and ocular muscles are still forming. The sixth cranial nerve either does not develop or does not function properly.<\/p>\n<p>More research is needed to know the exact disturbance in development. However, it\u2019s thought to be either genetic or environmental.<\/p>\n<p><b>SEE RELATED: <\/b><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/pediatric-eye-exams-2\/does-my-baby-have-an-eye-problem\/\">Does My Baby Have an Eye Problem?<\/a><\/p>\n<p><b>If you suspect your child might have Duane syndrome <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">contact an eye doctor near you<\/a>.<\/b><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Types of Duane syndrome<\/b><\/h2>\n<p>Duane syndrome is commonly split into three categories, each with its own set of symptoms.<\/p>\n<h3><b>Type 1<\/b><\/h3>\n<p>About 78% of all DS cases are Type I. Your ability to move your eye toward your ear is limited. It&#8217;s typical or nearly normal for you to be able to move your eye toward your nose.<\/p>\n<h3><b>Type 2<\/b><\/h3>\n<p>Only 7% of DS cases are Type 2. Your capacity to move your eye toward your nose is limited. You can move your eye normally or with only a minor constraint toward your ear.<\/p>\n<h3><b>Type 3<\/b><\/h3>\n<p>Roughly 15% of DS cases are Type 3. You have a restricted ability to move your eyes horizontally in either direction.<\/p>\n<p>When you try to move your eyes inward, your eyelids close and the affected eyeball retracts into its socket, regardless of the kind.<\/p>\n<h2><b>Subgroups<\/b><\/h2>\n<p>Each of these three categories can be further divided into three subgroups.<\/p>\n<p>These subgroups are used describe how your eyes appear when you\u2019re attempting to look straight ahead:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Subgroup A: <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/infantile-congenital-esotropia\/\">Esotropia<\/a><\/b> &#8211; the affected eye is turned inward toward the nose.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Subgroup B: <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/exotropia-outward-eye-turn\/\">Exotropia<\/a><\/b> &#8211; the affected eye is turned outward toward the ear.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Subgroup C: Orthotropia<\/b>: The eyes are in a primary, straight position.<\/li>\n<\/ul>\n<h2><b>What are the symptoms of Duane syndrome?<\/b><\/h2>\n<p>In the vast majority of instances, Duane syndrome is defined solely by the above-mentioned limited eye movement.<\/p>\n<p>Other symptoms are uncommon in patients with Duane syndrome, however in rare occasions, the disorder has been associated with:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Hearing loss<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Kidney problems<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Skeletal malformations<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">A variety of other syndromes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Disorders of the nervous system<\/li>\n<\/ul>\n<p>When symptoms do appear, they usually involve:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">An abnormal head turn to one side<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Closing one eye to try to see better<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Misalignment or crossing of the eyes<\/li>\n<\/ul>\n<p>Some children with Duane syndrome complain of:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Neck pain<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Headaches<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Double vision<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Difficulty with their vision in the affected eye<\/li>\n<\/ul>\n<h2><b>How to treat Duane syndrome<\/b><\/h2>\n<p>People with Duane syndrome frequently develop an irregular head turn to compensate for their inability to turn their eyes.<\/p>\n<p>There are several things that can be done to enhance the situation and improve the head turn.<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Offer special seating in school<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">To assist with driving, adding extra mirrors in cars<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Attach a <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/what-are-prism-lenses\/\">prism<\/a> on glasses to correct turning of the face<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Wear a patch over the good eye<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/guide-to-vision-therapy\/vision-therapy-faqs\/\">Vision therapy<\/a> can be used to treat the inability to turn eyes toward each other<\/li>\n<\/ul>\n<p><b>LEARN MORE:\u00a0\u00a0<a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/\">Guide to Children\u2019s Eye Exams<\/a>\u00a0<\/b><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Schedule an appointment with an eye doctor near you<\/a> to discuss the optimum eye care for your child.\u00a0<\/b><\/p>\n<p><i>If you notice your baby\u2019s eyes are not straight or have any concern about your newborn\u2019s eyes, early diagnosis will allow for the most effective treatment.\u00a0<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Approximately 1 in 10,000 people worldwide have Duane syndrome. Duane syndrome (DS) is a rare, non-progressive eye movement disorder, which is usually detected by doctors<\/p>\n","protected":false},"author":1206,"featured_media":17016,"parent":303,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-17015","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Duane Syndrome - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/pediatric-eye-exams-2\/duane-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Duane Syndrome - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Approximately 1 in 10,000 people worldwide have Duane syndrome. 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